Both men have been active sponsors of the measure, which establishes a live donor registry for kidney transplants and sets up a binary opt-in/opt-out system for organ donation via the DMV. While Californians were able to register as organ donors before when getting or renewing a driver's license, the new system requires that they explicitly choose to be a donor or not to be a donor.

Jobs received a liver transplant in 2009; he chose to register as a transplant candidate in Memphis, TN rather than in California in order to improve his odds of getting a donor organ in time to salvage his health. In his remarks at the March announcement of the bill, Steve noted that 400 Californians died waiting for donor organs in 2009.